Provider Demographics
NPI:1629521273
Name:REED, KATRINA GIANNINI (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:GIANNINI
Last Name:REED
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 NORMANDY DR
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-7474
Mailing Address - Country:US
Mailing Address - Phone:270-963-1517
Mailing Address - Fax:
Practice Address - Street 1:144 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3808
Practice Address - Country:US
Practice Address - Phone:615-431-9187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5524235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist